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蒙古儿童烧伤后疤痕。

Children's post-burn scars in Mongolia.

机构信息

Department of Traumatology and Orthopedic, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.

Department of Anatomy, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.

出版信息

Int Wound J. 2023 Aug;20(6):2082-2086. doi: 10.1111/iwj.14077. Epub 2023 Feb 9.

Abstract

This study aimed to identify some risk factors for post-burn scarring in children aged 0-18 years. One hundred and eighty two participants were involved in this cohort study. Under the age of 18 who were admitted to the Department of Burn Reconstructive Surgery with a diagnosis of upper and lower extremity burns were followed for 6 months. A total of 182 participants (62.1% male, and 37.9% female participants) enrolled in this study. Age ranged from 1 to 17 and the average age was 3.95 ± 3.35. The degree of burn and the anatomical location of the burn had a statistically significant effect on the development of hypertrophic scars. The length of the patient's hospitalisation days and the area of ​​the burn were statistically correlated with wound healing (P = 000, P = .074). For example, the average length of hospitalisation days was 8 ± 5 days in the hypertrophic scars group of patients, and in the group with normal scars, average bed days were 6 ± 3 days (P = .000). Grade IIIb burns increased the risk of hypertrophic scar development by 4.9 times and grade IV burns increased it by 2.5 times. In addition, when the area of burns was 11% or more, the risk of hypertrophic scar development was increased by 58.8%. In the case of wound swab infection, the risk of hypertrophic scar development was 12.4% higher (B = 1.124, 95 EI = 0.55; 2.28, P = .748). Participants' age, burn area and degree of burn are statistically significant risk factors for post-burn scarring in children aged 0-18 years.

摘要

本研究旨在确定 0-18 岁儿童烧伤后瘢痕形成的一些危险因素。本队列研究共纳入 182 名参与者。18 岁以下因上肢和下肢烧伤被收入烧伤重建外科的患者进行了 6 个月的随访。本研究共纳入 182 名参与者(62.1%为男性,37.9%为女性)。年龄为 1 至 17 岁,平均年龄为 3.95±3.35 岁。烧伤程度和烧伤的解剖位置对增生性瘢痕的形成有统计学显著影响。患者住院天数和烧伤面积与伤口愈合有统计学相关性(P=0.000,P=0.074)。例如,增生性瘢痕组患者的平均住院天数为 8±5 天,而正常瘢痕组患者的平均住院天数为 6±3 天(P=0.000)。IIIb 级烧伤使增生性瘢痕形成的风险增加 4.9 倍,IV 级烧伤使风险增加 2.5 倍。此外,当烧伤面积达到 11%或以上时,增生性瘢痕形成的风险增加 58.8%。当创面拭子感染时,增生性瘢痕形成的风险增加 12.4%(B=1.124,95% EI=0.55;2.28,P=0.748)。患儿年龄、烧伤面积和烧伤程度是 0-18 岁儿童烧伤后瘢痕形成的统计学显著危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9c2/10332987/b2c6661e608a/IWJ-20-2082-g003.jpg

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